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International Journal of Bioprinting                                             3D-printed diabetic diet




























































                           Figure 3. Microstructure of the six food inks at 500× and 1500× magnifications. (A) Ink-M1; (B) Ink-M2.

            3.3. Textural analysis                             range from 6.5–7.5 × 10  N/m    to 11.7–24.2 × 10  N/m .
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            Universal Design Foods (UDF) concept introduced in   It is worth noting that the hardness of the optimal inks is
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            previous research 48,49  categorizes foods into four groups   1.89–3.80 N, which corresponds to 1.89–3.80 × 10  N/m
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            based on their texture and ease of chewing, as proposed by   for the 1 × 1 × 1 cm  specimen. Therefore, the 3D-printed
            the Japan Care Food Conference. According to their texture,   food developed in this study causes minimal irritation to
            foods are classified into stage 1 (thin gruel, hardness of 5 ×   patients with diabetic oral ulcers.
            10  N/m ), stage 2 (gruel, hardness of 2 × 10  N/m ), stage 3   The texture profile analysis provides an accurate and
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            (soft-boiled, hardness of 5 × 10  N/m ), and stage 4 (boiled,   quantitative assessment of texture of 3D-printed food
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            hardness of 5 × 10  N/m ).  Based on the literature, the   items. However, the test is relatively time-consuming
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            pain threshold of oral ulcer is significantly varied due to   and resource-demanding. In comparison, IDDSI tests
            the different measurement methods used, lesion severity,   provide a framework for rapid, convenient, qualitative, and
            lesion location, lesion nature, age of patient, and individual   intuitive assessment of food texture. Although the IDDSI
            variability. Reported pain thresholds in terms of pressure   framework is developed to evaluate whether the food items
            Volume 10 Issue 2 (2024)                       303                                doi: 10.36922/ijb.1862
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